Apply at the Healing Arts Institute

Take the first steps in starting your career at the Healing Arts Institute by enrolling securely online now!

Fill out the application form below to start you on your way towards a career in the Healing Arts profession. If you have any questions about this application -- or anything else regarding this web site or our school please contact us via e-mail at any time, or by phone during normal business hours. If you do not feel comfortable sending your application via e-mail, you may also download the application as PDF.

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Section 1: Program Application

Standard Certification Programs
Certified Massage Therapist (500 hrs)
Certified DOULA (50 hours)
Reflexology Certification (125 hrs)



Advanced Certification Programs*
Certified Massage Therapist (1000 hrs)
Certified Neuromuscular Rehabilitation (125 hrs)
Certified Obstetric Massage Therapy (156 hrs)


* These programs require specific previous experience and/or certifications. Please see each program's specific page or contact us for additional information.

Specialization and Career Enhancement
 Life Experience Program
Elective Classes/Continuing Education
Spa Therapy
Other
Semester applying for:
Fall Winter/Spring Summer
Year applying for:
   
Day or Evening Class Sessions:
Days Evenings

Section 2: Personal Information
First Name: Middle Initial:
Last Name:

Address:

 

 
City: State:
Zip/Postal Code:
Phone (Daytime):
Phone (Evening):
   
E-Mail:
   
Date of Birth (e.g. 05/15/56): Month: Day: Year:

Section 3: Employment
Current Employment:
Employer's Phone:

Place of Employment:

 

 

Section 4: Educational Background
 
School Name
State
No Years/Hours
Area of Study
Certificate/Degree
High School :
 
College :
 
Trade/Vocational :

Section 5: Emergency Contact
Name:

Address:

 

 

Phone:
Relationship:

Section 6: Personal Background Have you ever been convicted of a felony, or arrested for any sexual offenses (if so, please explain)?    Yes No


Section 7: Physical Fitness

Are you currently experiencing any medical or physical complaints or conditions (if so, please explain)?    Yes No



To your knowledge, are there any medical, physical, mental or legal problems which either inhibit your effectiveness or preclude you from performing the duties of a massage practitioner or bodywork therapist (if so, please explain)?    Yes No



Please list any medications that you are currently using. (This includes prescriptions, herbal, and homeopathic formulas.)


Section 8: Healing Arts Interests and Background

Do you have any previous experience in the fields of healing arts?    Yes No



How did you hear about us?


Internet     Newspaper     Word of mouth     TV/Radio     Other

What interests you in pursuing a massage and/or healing arts career?



How do you plan to use the education you receive from us?



Briefly describe your interests and how you would be an asset to HAI, and the field of massage and bodywork.



Have you ever attended a massage school in the past?    Yes No

Name of School:

Address:

 

 

Attendance Dates:

From to

Why did you leave the school?

 

 

Agreement

Failure to disclose and/or falsified information may lead to dismissal from The Healing Arts Institute. I agree to follow all written school policies in the HAI catalogue and policies manual.You will be contacted by The Healing Arts Institute to complete your application process.

NOTE: By selecting the SUBMIT button, you are acknowledging your intent to enroll as a student at The Healing Arts Institute.

Until the application process is completed, you ARE NOT financially responsible for any school costs, fees or tuition payments.